National Provider Identifier Database

BRYAN K MICKELSON, PhD – NPI #1033440466
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

BRYAN K MICKELSON, PhD
120 S 17TH ST
WORLAND, WY82401-3637
Phone: 307-272-5368
Fax: 307-347-4038
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Clinical Child & Adolescent 103TC2200X
Counseling 103TC1900X
Group Psychotherapy 103TP2701X
Psychologist 103T00000X
School 103TS0200X

* Indicates primary specialty

NPI Profile & details for BRYAN K MICKELSON

NPI Number 1033440466
Credentials PhD
Entity Individual
Enumeration date 01/25/2010
Last updated 05/07/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • WY License #: #535
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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